RSV Burden in Outpatient Settings

NCT ID: NCT04743609

Last Updated: 2022-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

3500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-02-08

Study Completion Date

2024-01-11

Brief Summary

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Strengthening outpatient low respiratory tract infection surveillance to document the burden of Respiratory Syncytial Virus (RSV)

Detailed Description

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The study protocol is designed with three key components: 1. Build on existing PARI outpatient syndromic surveillance by adding laboratory multiplex testing of LRTI samples (RSV, Influenza, SARS-COV-2) 2. Follow all bronchiolitis through the PARI RWE database and document "patient journey" for 5 years after first medical visit 3. Review the electronic PARI data of three previous seasons in order to document the impact of LRTI attributable to RSV in children \< 2 years in France prior to enhanced surveillance

Conditions

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RSV Infection Children, Only Outpatient Bronchiolitis Otitis Media Pneumonia

Keywords

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RSV children bronchiolitis otitis pneumonia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Bronchiolitis

\- Children under 24 months of age (≤) with First episode of bronchiolitis.

Aims :

\- For city physicians: Enrrollment of 1000 children with Bronchiolitis not associated with otitis

\- In the hospital (at pediatric emergencies): Enrrollment of 900 children with bronchiolitis

nasopharyngeal samples

Intervention Type DIAGNOSTIC_TEST

rapid antigen test for Sars Cov-2, influenza and RSV. multiplex RT-PCR for a subgroup of 500 patients

Acute otitis media

Define with Paradise Criteria) or otorrhea

Enrrollment only for city physicians :

* 500 children with Otitis not associated with Bronchiolitis
* 500 children with Otitis associated with Bronchiolitis

nasopharyngeal samples

Intervention Type DIAGNOSTIC_TEST

rapid antigen test for Sars Cov-2, influenza and RSV. multiplex RT-PCR for a subgroup of 500 patients

Pneumonia

Defined by the presence of opacity of parenchymal condensation and/or pleural effusion on chest X-ray associated with fever.

Aims:

\- For city physicians: Enrrollment of 100 children with pneumonia

\- In the hospital (pediatric emergencies): Enrollment of 500 children with pneumonia

nasopharyngeal samples

Intervention Type DIAGNOSTIC_TEST

rapid antigen test for Sars Cov-2, influenza and RSV. multiplex RT-PCR for a subgroup of 500 patients

Interventions

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nasopharyngeal samples

rapid antigen test for Sars Cov-2, influenza and RSV. multiplex RT-PCR for a subgroup of 500 patients

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* children under 24 months of age (≤)
* One of the holders of parental authority signed the consent
* Patient affiliated to a social security scheme (Social Security or Universal Medical Coverage)
* First episode of bronchiolitis defined by
* Age ≤24 months
* At least one symptom from group A and one symptom from group B Group A (one or more)
* Fever \>38 °C
* Cough
* Otalgia
* Nasal congestion
* Rhinorrhea
* Coryza
* Dysphagia Group B (one or more)
* whistling
* Crackles
* Rales
* Decrease in respiratory noise
* Shortness of breath
* Dyspnea
* OR Acute purulent otitis media (Paradise Criteria) or otorrhea.
* OR Pneumonia defined by the presence of opacity of parenchymal condensation and/or pleural effusion on chest X-ray associated with fever

Exclusion Criteria

* Age \>24 months
* Refusal by one of the parents
* Not affiliated to a social security system
Minimum Eligible Age

1 Day

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role collaborator

Association Clinique Thérapeutique Infantile du val de Marne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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ACTIV

Créteil, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Corinne Levy, MD

Role: CONTACT

Phone: 0033148850404

Email: [email protected]

Stéphane Béchet, MsC

Role: CONTACT

Phone: 0033148850404

Email: [email protected]

Facility Contacts

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Corinne Levy, MD

Role: primary

Stéphane Béchet, MSc

Role: backup

References

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Rybak A, Levy C, Jung C, Bechet S, Batard C, Hassid F, Zouari M, Cahn-Sellem F, Bangert M, Cohen R. Delayed Bronchiolitis Epidemic in French Primary Care Setting Driven by Respiratory Syncytial Virus: Preliminary Data from the Oursyn Study, March 2021. Pediatr Infect Dis J. 2021 Dec 1;40(12):e511-e514. doi: 10.1097/INF.0000000000003270.

Reference Type RESULT
PMID: 34260480 (View on PubMed)

Lenglart L, Levy C, Basmaci R, Levieux K, Kramer R, Mari K, Bechet S, Launay E, Cohen L, Aupiais C, de Pontual L, Rybak A, Lassoued Y, Ouldali N, Cohen R. Nirsevimab effectiveness on paediatric emergency visits for RSV bronchiolitis: a test-negative design study. Eur J Pediatr. 2025 Feb 1;184(2):171. doi: 10.1007/s00431-025-06008-9.

Reference Type DERIVED
PMID: 39893316 (View on PubMed)

Related Links

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https://pubmed.ncbi.nlm.nih.gov/34260480/

Delayed Bronchiolitis Epidemic in French Primary Care Setting Driven by Respiratory Syncytial Virus: Preliminary Data from the Oursyn Study, March 2021

Other Identifiers

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2020-A02876-33

Identifier Type: -

Identifier Source: org_study_id